Journal article
A Pediatric Patient With Seizures and Vagus Nerve Stimulation With Worsening Snoring and Apneas
Curēus (Palo Alto, CA), v 13(4), 14379
09 Apr 2021
PMID: 33987047
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
An 11-year-old female presents to the sleep clinic for evaluation for possible sleep-disordered breathing (SDB). She has a history of frequently intractable seizures for which she was tried on multiple antiepileptic medications. She had vagus nerve stimulation (VNS) implantation two years ago to treat her focal seizures. Nine months later, her seizures were controlled, but the family raised concerns about louder snoring and more frequently witnessed apneas. She had polysomnography (PSG) that showed severe obstructive sleep apnea (OSA) related to her VNS. The patient was diagnosed with SDB secondary to electrical activations of the implanted VNS. We describe an epilepsy patient whose case illustrates the possible respiratory complications (primarily OSA) associated with VNS. We will discuss the possible mechanisms of VNS related SDB and the importance of screening for SDB and advocate for a PSG both before and after VNS implantation.
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Details
- Title
- A Pediatric Patient With Seizures and Vagus Nerve Stimulation With Worsening Snoring and Apneas
- Creators
- Sameh S. Morkous - Lehigh Valley Hospital-Pocono
- Publication Details
- Curēus (Palo Alto, CA), v 13(4), 14379
- Publisher
- Springer Nature
- Number of pages
- 5
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pediatrics
- Web of Science ID
- WOS:000639290600004
- Other Identifier
- 991022065041504721
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- Web of Science research areas
- Clinical Neurology